Get the latest updates from Dr. Maltz through her monthly newsletter!

I've said it before and I'll say it again...it is time to get off the plastics! Buy a BPA-free water bottle and refill it with filtered water. Use BPA-free, phthalate-free storage containers and keep your household items in canvas or nylon bags. Get creative and be healthy!"Man-made chemicals present in homes, schools, offices, cars and food are probablycontributing to the sharp rise in obesity and diabetes in western societies, according to a review of scientific literature published today.Until now lifestyle factors such as lack of exercise and poor diet were believed to be the primary causes of the increased incidence of both conditions, whose proliferation has strained global health budgets.While these remain undisputed factors, the review of 240 scientific papers by two leading experts, Professor Miquel Porta of Spain and Professor Duk-Hee Lee of South Korea, suggests chemicals in plastics and other surfaces play an important and avoidable role.Their study assessed the impact of chemicals including the now banned PCBs, the plastic-softeners phthalates, and the plastic-hardener Bisphenol A, or BPA, a common substance in food packaging and plastic bottles which The Independent has written widely about. All 240 studies they reviewed – whether in test-tubes, on animals or on humans – had been peer-reviewed and published in scientific journals.The paper, the Review of the Science Linking Chemical Exposures to the Human Risk of Obesity and Diabetes, found some of the chemicals appeared to have a causal effect on obesity, some on diabetes and some on both.Many are endocrine disruptors, which can change human hormones, including the stimulation of appetite and fat storage and regulation of sugar.Six out of 10 adults in England are overweight or obese and diabetes in the UK has more than doubled since 1996 to 2.9 million people, which is about one in 20 people.One of the study authors, Professor Miquel Porta, of the Hospital del Mar Research Institute, Barcelona, said: "The epidemics in obesity and diabetes are extremely worrying."The role of hormone disrupting chemicals in this must be addressed. The number of such chemicals that contaminate humans is considerable."We must encourage new policies that help minimise human exposure to all relevant hormone disruptors, especially women planning pregnancy, as it appears to be the foetus developing in utero that is at greatest risk".Some of the chemicals studied – organo-chlorine pesticides, PCBs used to lubricate electrical equipment and to make plastics fireproof; and many Brominated Flame Retardants – have now been banned but others such as BPA and phthalates are still widely used in everyday products.BPA is commonly found in the plastic lining inside tinned foods, on thermal till receipts and in consumer electronics such as mobile phones and televisions, while phthalates are present in vinyl flooring, shower curtains and children's toys.CHEM Trust (Chemicals Health & Environment Monitoring Trust), the British pressure group which commissioned the research, urged the UK Government and the EU to press industry to find safer alternatives.Elizabeth Salter Green, director of CHEM Trust, said: "If exposure to hormone disrupting chemicals is programming us to be fat, it is high time that public health policy takes into account cutting edge science. Obesity and diabetes are examples of the adverse health trends linked with endocrine disruption which need to be urgently addressed."We are talking about prevention, not cure here, and in this time of financial squeeze, anything that can help with prevention, reducing NHS spending, is a good idea.""Source: http://www.independent.co.uk/news/science/chemicals-in-plastic-linked-to-rise-in-obesity-and-diabetes-7578153.html

Farming communities facing crisis over nitrate pollution, study says March 13, 2012 - Stett Holbrook, Food & Environment Reporting Network Paolo Vescia/ FERNnewsNearly 10 percent of the 2.6 million people living in the Tulare Lake Basin and Salinas Valley might be drinking nitrate-contaminated water.Nitrate contamination in groundwater from fertilizer and animal manure is severe and getting worse for hundreds of thousands of residents in California’s farming communities, according to a study released today by researchers at UC Davis.Nearly 10 percent of the 2.6 million people living in the Tulare Lake Basin and Salinas Valley might be drinking nitrate-contaminated water, researchers found. If nothing is done to stem the problem, the report warns, those at risk for health and financial problems may number nearly 80 percent by 2050.The report is the most comprehensive assessment so far of nitrate contamination in California’s agricultural areas.“The problem is much, much, much worse than we thought,” said Angela Schroeter, agricultural regulatory program manager for the Central Coast Regional Water Quality Control Board, a state water agency.High nitrate levels in drinking water are known to cause skin rashes, hair loss, birth defects and “blue baby syndrome,” a potentially fatal blood disorder in infants. A recent National Institutes of Health study linked increased risk of thyroid cancer with high nitrate levels in public water supplies.Nitrate-contaminated water is a well-documented fact in many of California’s farming communities. The agricultural industry, however, has maintained that it is not solely responsible because nitrates come from many sources.But according to the UC Davis report, 96 percent of nitrate contamination comes from agriculture, while only 4 percent can be traced to water treatment plants, septic systems, food processing, landscaping and other sources.In addition to health risks, tainted water will exact a growing financial toll, the report said. The researchers project that utilities and citizens in the two regions will pay $20 million to $36 million per year for water treatment and alternative supplies.According to the study, more than 1.3 million people in the two areas currently face increased costs as residents seek alternative sources of water and providers pass on the costs of treatment to ratepayers.The five counties in the study area – among the top 10 agricultural producing counties in the United States – include about 40 percent of California’s irrigated cropland and more than half of its dairy herds, representing a $13.7 billion slice of the state’s economy.The Central Coast Regional Water Quality Control Board has produced several reports of its own that show “large-scale degradation” of drinking water aquifers due to nitrates from fertilizer.“If we don’t address this, we’re going to have a very serious issue in California,” Schroeter said.Nitrates are odorless, tasteless compounds that form when nitrogen from ammonia and other sources mix with water. While nitrogen and nitrates occur naturally, the advent of synthetic fertilizer hascoincided with a dramatic increase in nitrates in drinking water.Rural residents are at greater risk because they depend on private wells, which are often shallower and not monitored to the same degree as public water sources. Current contamination likely came from nitrates introduced into the soil decades ago. That means even if nitrates were dramatically reduced today, groundwater would still suffer for decades to come.According to the report, removing nitrates from large groundwater basins is extremely costly and not technically feasible. One relatively low-cost alternative is called “pump and fertilize:” pulling nitrate-saturated water out of the ground and applying it to crops at the right time to ensure more complete nitrate uptake.Representatives of the California Farm Bureau Federation, the state’s largest agricultural association, would not comment on the report until it was released. But in a written statement, spokesman Dave Kranz said farmers and ranchers have worked on better nitrate management for years. “Clean drinking water is a high priority for everyone, especially people who live in rural areas,” Kranz said. “Most farmers live where they work and want to be certain that they, their families, their employees, and their neighbors have access to safe water.” Farmers and ranchers will continue to adapt to new information, technology and science to address nitrate problems, he said. But he said it’s important to “make sure nitrate management programs look at all possible sources to achieve the goal of safe drinking water.”The safety of groundwater, which is the largest source of drinking water, is managed through the state’s Clean Water Act. But each source of contamination is handled differently, says Schroeter of the Central Coast water board, and agriculture is more lightly regulated than other industries.Lopez and her son, Leonardo, live at the San Jerardo farm-worker cooperative. She helped get a filtration system in 2006 to manage nitrate contamination in the cooperative's water.For the 250 people living in San Jerardo, a farm-worker cooperative southeast of Salinas, the threat posed by nitrates is all too familiar. San Jerardo residents live in refurbished old barracks that have been converted into tidy homes.Sonia Lopez moved into San Jerardo with her parents and five siblings in 1987. The four-bedroom, four-bathroom house was a big improvement over the two-bedroom apartment they once shared. “This was our American dream,” she said.But something went wrong about nine years ago. Her skin became red and itchy. Her eyes burned. Her hair started falling out. Her family had the same symptoms, and she learned other San Jerardo residents were afflicted, too.“I got very concerned because some of the residents started passing away from cancers,” she said. “People were dying, and we didn’t know who was going to be next.”While they did not find a cause for the cancers, Lopez and fellow resident Horacio Amezquita learned from health officials that nitrates in their well water had made their eyes red and their hair fall out.The community also learned that its water had been contaminated with nitrates since at least 1990; over the years, three wells had been drilled and eventually were found to be tainted. Drinking water regulations limit nitrates to less than 45 parts per million. One well measured 106 ppm, more than double the limit.After repeatedly asking Monterey County officials to help, Lopez and Amezquita finally got a filtration system in 2006, and in 2010, the community connected to a new well two miles away that doesn’t need to be purified. The cost to Monterey County was about $5 million. San Jerardo residents used to pay about $25 a month for water; now, they pay as much as $130 a month. Horacio Amezquita stands beside the San Jerardo cooperative's water supply. In 2010, the community connected to a new well two miles away that doesn’t need to be purified, but residents' water costs rose from $25 a month to as much as $130 a month. Lopez still worries about her health, and like the UC Davis researchers, she warns the nitrate problem will only get worse.“Our problem is going to be your problem,” she said. “It’s everyone’s problem. There are solutions, but we need the people in charge of our communities to do something about it.”UC Davis hydrologist Thomas Harter led the team of researchers from the Center for Watershed Sciences that prepared the report, which took 20 months to complete and involved 26 scientists. The report had been requested by the Legislature in 2008.Water-quality experts said the study provides a new and comprehensive look into the sources of the contamination, the chemicals in the water and the people affected. Laurel Firestone, co-executive director of Tulare County’s Community Water Center, a nonprofit that helps communities with poor drinking water, said not only does the study show that the nitrate problem isn’t limited to a few isolated rural communities, but it also places responsibility squarely on agriculture’s shoulders. Firestone hopes there will now be the political will to tackle the issue.“This isn’t a new problem,” she said. “We’ve known it for decades, but we’ve failed to do anything about it.”The report lists a few solution to help pay for the cleanup of contaminated water, including a fee on fertilizer sales and greater “mill fees” on the production of fertilizer. In California, farmers do not pay sales tax on fertilizer, while water districts and communities bear the cost of cleaning up tainted wells.Firestone said a fertilizer fee could be a powerful tool because there’s currently no disincentive to use fertilizer and few incentives to switch to safer agricultural practices.“I think it’s clear that to address this problem, we need agriculture to lead the way,” she said.Because of the might of the state’s agricultural industry, there has been little political will to tackle the nitrate problem. It will be up to the Legislature to decide how to respond to Harter’s report, but regulatory change might be coming as soon as this week.The Central Coast water board, one of several regional water agencies that enforce the state’s Clean Water Act, will hold a highly anticipated meeting tomorrow to decide on new agricultural regulations aimed at reducing the release of nitrates, pesticides and other chemicals into aquifers, as well as creeks, rivers, lakes and the Pacific Ocean.“We justify these regulations based on very severe threats to water quality,” said Schroeter, agricultural regulatory program manager for the water board. “We have the most toxic water in the state.”Despite the report’s grim news, water policy expert Jennifer Clary said she believes change is coming. She is a program manager for Clean Water Action, a national environmental advocacy group. She said the Central Coast water board’s plan would be a first step toward regulating groundwater contamination.While she said the proposed rules aren’t perfect, “it’s going to be better than nothing. You can’t continue with nothing.”Harter, the UC Davis researcher, said the study’s long-term projections for nitrate contamination reveal “just how extensive and interconnected these impacts are.” While his report outlined a number of policy choices, he doesn’t recommend one particular course of action.“We can certainly do better, but it’s going to take an investment that we will all have to share. … That’s a discussion I hope we have.”

DISCLAIMER: The content of this website does not serve as medical advice nor does it substitute for a thorough medicalevaluation by a qualified health care practitioner. It also does not represent the opinions of any of the medical institiutions or practitioners mentioned. Consult a physician or local health care provider before changing any medications, diet or exercise regimen.

Author

Dr. Maltz earned a Medical Degree and Master in Public Health from the University of Texas Medical Branch (UTMB) in Galveston, TX. She completed a combined Internal and Preventive Medicine Residency at UTMB in June, 2011. She is currently partaking in a 2-year Integrative Medicine Fellowship at Stamford Hospital in Stamford, CT, during which she will undergo an intensive 1000-hour curriculum created by The University of Arizona Integrative Medicine Program founded by Dr. Andrew Weil.

Dr. Maltz's specific interests include helping her patients and populations improve their health through lifestyle interventions including, but not limited to, natural pain relief, nutrition, mind-body techniques and decreasing environmental exposures. She spent the last year of her four-year medical residency participating in health policy, cancer prevention and environmental health rotations and enjoys guiding people through the overwhelming amount of health information available on the web.